<?php include "includes/comunes.php";

$tabla="paginas";
$condicion=" PaginaPublicar=1 and PaginaId=".$_GET['pag'];
$orden=" order by PaginaId desc ";
$res=cons_sql($tabla,$condicion,$orden);
$reg=mysql_fetch_array($res);
//seteo titulo de la pagina
$titulo="Responde";
 ?>
<html class="no-js"> <!--<![endif]-->
<head>
      <?php include "includes/metas.php";?>
    </head>
<body>

 <?php include "includes/nav.php";?>
 <?php include "includes/header.php";?>    
 <?php include "includes/menu.php";?>  

<div class="container">
<div class="row">
</div>
</div>

<div class="space"></div>
<div class="container">
<div class="row">
<div class="col-md-12 col-sm-12">
<div class="art"><h3><div class="destaca">INSSSEP Responde</div></h3>
<div class="row">
<div class="col-md-6 col-sm-6">
<h4>Formulario de Consulta</h4>
<hr>
<form class="form-horizontal">
  <div class="control-group">
    <label class="control-label" for="inputEmail">Nombre y Apellido</label>
    <div class="controls">
      <input type="text" name="ape"  class="form-control" required placeholder="Nombre y Apellido">
    </div>
  </div>
  <div class="control-group">
    <label class="control-label" for="inputEmail">Email</label>
    <div class="controls">
      <input type="email"  class="form-control" name="email" required placeholder="Email">
    </div>
  </div>
  <div class="control-group">
    <label class="control-label" for="inputEmail">Telefono</label>
    <div class="controls">
      <input type="texto"  class="form-control" name="tel" required placeholder="Telefono">
    </div>
  </div>
  <div class="control-group">
    <label class="control-label" for="inputEmail">Area</label>
    <div class="controls">
     <select  class="form-control" name="area">
	 <option value="1">Afiliaciones</option>
	 <option value="2">Jubilaciones</option>
	 <option value="3">Seguros</option>
	 <option value="4">Cobro de Plus</option>
	 </select>
    </div>
  </div>
  
    <div class="control-group">
    <label class="control-label" for="inputEmail">Consulta</label><br>
    <div class="controls">
     <textarea  class="form-control" name="consulta" cols="45" rows="10"></textarea>
    </div>
  </div>
  <br>
  <div class="control-group">
    <div class="controls">
      <button type="submit" class="btn btn-default btn-sm">Enviar Consulta</button>
    </div>
  </div>
</form>
</div>
<div class="col-md-6 col-sm-6">
<h4>Telefonos Utiles</h4>
<hr>
<div class="list-group">
  <a href="#" class="list-group-item active">
    <h4 class="list-group-item-heading">Central Telefonica</h4>
    <p class="list-group-item-text"><b>(362) 4414400 al 4414499</b></p>
  </a>
  <a href="#" class="list-group-item ">
    <h4 class="list-group-item-heading">Telefono para denuncias por Cobro de Plus</h4>
    <p class="list-group-item-text"><b>0800-888-PLUS(7587)</b></p>
  </a>
  <a href="#" class="list-group-item ">
    <h4 class="list-group-item-heading">Celular para denuncias por Cobro de Plus</h4>
    <p class="list-group-item-text"><b>(362) 4810229</b></p>
  </a>
   <a href="#" class="list-group-item">
    <h4 class="list-group-item-heading">Direccion Casa Central</h4>
    <p class="list-group-item-text"><b>Av. 9 de Julio 347 • (H3500ABD) Resistencia, Chaco. República Argentina</b></p>
  </a>
</div>
</div>
 </div>


<a href="javascript:history.back(1)"><button type="button" class="btn btn-default btn-sm">Volver</button></a></div>
</div></div>
<div class="linea"></div>
<?php include "includes/menuInferior.php";?> 
<div class="linea"></div>
<?php include "includes/footer.php";?> 

 <?php include "includes/js.php";?>  
    </body>
</html>
